A patient may be a candidate for posterior cervical decompression and fusion if they have conditions in the neck that cause significant spinal cord or nerve compression and are not improving with non-surgical treatments. This includes problems such as cervical spinal stenosis, herniated discs, bone spurs, or thickened ligaments that lead to spinal cord pressure (myelopathy) or nerve root compression (radiculopathy). Candidates often experience symptoms like neck pain, arm pain, numbness, weakness, difficulty with balance, or loss of hand coordination. The procedure is also considered for patients with spinal instability, deformities such as kyphosis, or after trauma, infection, or tumor removal when stabilization is needed.

A posterior cervical decompression and fusion is performed through an incision in the back of the neck. First, Dr. B exposes the affected vertebrae and performs the decompression by removing bone (lamina), thickened ligaments, or other tissue that is pressing on the spinal cord and nerves. This creates more space for the spinal cord and nerve roots, helping to relieve pressure. Once the decompression is complete, Dr. B then stabilizes the spine by placing screws, rods, and bone graft to hold the spine in proper alignment while the vertebrae fuses together into one solid piece over time.

The advantages of a posterior cervical decompression and fusion include:

• Relieves pressure on the spinal cord and nerves, which can improve symptoms such as neck pain, arm pain, numbness, weakness, and difficulty with balance or coordination.

• Stabilizes the cervical spine, preventing abnormal motion between vertebrae that could worsen symptoms or cause further damage.

• Helps correct spinal deformities, such as cervical kyphosis, by restoring proper alignment.

• Prevents progression of spinal cord compression (myelopathy), which can otherwise lead to permanent neurological deficits.

• Provides durable results, as the fusion creates a solid segment of bone that reduces the likelihood of recurrent instability at the treated levels.

• Improves overall function and quality of life by potentially allowing patients to regain strength, mobility, and independence once recovery is complete.

Please refer to our Patient Education Booklet for detailed information.